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Home My WebLink About4108 Newell Rd - BuildingPREPARED 9/08/10 8 23 40 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/08/10 ADDRESS 4108 NEWELL RD SUBDIV TENANT NBR STELLA K CONNALLY CONTRACTOR GARLAND CONST MAINTENANCE PHONE (360) 457 5186 OWNER STELLA K CONNALLY PHONE (360) 452 3401 PARCEL 06 30 09 5 0 9170 0000 APPL NUMBER 10 00000949 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 9/08/10 JLL BLDG FINAL September 7 2010 10 54 51 AM 1pangrle e GARLAND 457 5186 O BUILDING FINAL RE ROOFED THE HOUSE COMMENTS AND NOTES Application Number 10 00000949 Application pin number 682082 Property Address 4108 NEWELL RD ASSESSOR PARCEL NUMBER 06 30 09 5 0 9170 0000 Tenant nbr name STELLA K CONNALLY Application type description RE ROOF Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 6690 Application desc TEAR OFF RE ROOF THE HOUSE Owner STELLA K CONNALLY 4108 NEWELL RD PORT ANGELES WA 98363 (360) 452 3401 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 5 00 Other Fees Fee summary 14 0000 THOU T.Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Per Charged Permit Fee Total 165 75 Plan Check Total 00 Other Fee Total 4 50 Grand Total 170 25 Contractor Date 9/01/10 GARLAND CONST MAINTENANCE 2512 E RYAN DRIVE PORT ANGELES (360) 457 5186 RE ROOF THE HOUSE BUILDING PERMIT NO PR FEE RE ROOF THE HOUSE 172544 165 75 9/01/10 2/28/11 BASE FEE BL -2001 25K 165 75 00 4 50 170 25 Plan Check Fee 00 Valuation 6690 (14 PER K) STATE SURCHARGE Paid Credited 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or loca law regulatin• construction or the performance of construction. I ictuedicik 6a�a 4 Print Name Signature of Contractor or Authorized Agent WA 98362 Extension 95 75 70 00 4 50 Due 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Agin Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Date I Accepted By Inspection Type PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 9 gam 1( L PROJECT ADDRESS Parcel Number Floor Areas T For s /Builg Division /Bldg Permit.doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 ai la 114 Applicant 64.itia-t1_0( I U.0 Property Owner S7/ Co Contractor's Address 9 x'77 License Property Owner's "dress /J,(�a>,�/ ntractor (;'ad /a d 6,/,/9/ R /1M Expires 41-6? Project Type Brief Description. Check all that apply New Construction Addition Remodel ID Repair D olition e -roof louse ID other 'Phone Pho ne Phone E -mail d'. Lot /Residential Multi- family ke dl 6/ Existing (sq. ft.) Proposed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Heat System Heat pump wood- burning stove gas fireplace pellet stove El other Other Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage 'Carport Covered Porch Deck Shed Other For City Use Only Date Received 9- I —10 Permit cq Date Approved </4' 7- <�aJ �JL. q Zoning Commercial Industrial gvfear off re -roof lay over one layer 6 cf,9 TOTAL VALUATION D Total footprint of structures sq ft. Lot siz sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage ok of bedrooms of full baths of half baths l have read and completed this application and know it to be true and correct I am authorized to apply for this permit and understand that it is my respp n v l sibility to determine what permits are rrquired, and to obtain permits prior to v .rking on proje%ts Dat 7/ /0 Print Name n do() 00 tAl/ ta Ly Signature Li GARLAND ROOFING 2512 East Ryan Drive Port Angeles, WA 98362 360 457 -5186 Lic. Bonded Lic GARLACMO44ND 5: Job Location. 4108 Newel Rd. Port Angeles Wa.98362 Date 8 -16 -10 Proposal Submitted To Stella Conly c Address. Same Phone Number Proiect #1 We hereby submit specifications and estimates for Tear off old asphalt shingles and re -roof. Remove and haul off all roof debris. Install ASTM 15 lb felt, starter shingle, and a matching architectural laminated shingle. To newer add on. Replace all pipe flashing, vent cans. To mstall W valley metel at chimney To cut down fascia 30 feet for normal draining to gutters. To Also to install 1 1 /2 inch metal drip edge at gables to city code.The purchase of a re -roof permit mcluded. /1 L;i0V We rq ose hereby to furnish material and labor to or a with the above specifications P Y p of Prq)fct #1 for the sum of: $7140oo plus tax 7 qR f 1 6 With the payments to be made as follows: 50% deposit and balance paid upon completion. Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. Date of acceptance 7 1 p -4) 168 v( (34) Hattd er CA Respectfully Submitted Note this proposal may be withdra n by us'if not oEcepled'within 30 days. Acceptance of Proposal CD The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlmed above. Signature ;A 0 4- Clallam County Assessor Treasurer Property Details 64356 STELLA K CONNALL Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 64356 STELLA K CONNALLY for Year 2010 2011 Property Account Property ID' 64356 Legal Description. CROFTS ADDITION GROOMS SP LOT 1 V24 P41 -N2SW- 47A SURVEY V40 P31 Geographic ID 0630095091700000 Agent Code Type. Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Township Section. Range Location Address: 4108 NEWELL RD Mapsco PORT ANGELES WA 98362 Neighborhood: Cycle 4 Res Map ID 2 Neighborhood CD 10952130 Owner Name. STELLA K CONNALLY Owner ID 19097 Mailing Address: 4108 NEWELL ROAD Ownership: 100 0000000000% PORT ANGELES WA 98363 Taxes and Assessment Due Property Tax Information as of 09/01/2010 Amount Due if Paid on M. Exemptions. SNR /DSBL First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base 2010 46687 ST SCH STATE SCHOOL $75 65 $75 65 $0 00 $0 00 $7 2010 46687 CC -GEN COUNTY $40.26 $40.26 $0 00 $0 00 $4 2010 46687 PORT PORT $5 66 $5 66 $0 00 $0 00 9 2010 46687 PORT ANG PORT ANGELES $81 09 $81 09 $0 00 $0 00 $E 2010 46687 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 9 2010 46687 NTH OLY LIB NORTH OLYMPIC LIBRARY $11 70 $11 70 $0 00 $0 00 $1 2010 46687 HOSP #2 HOSPITAL #2 $16 52 $16 51 $0 00 $0 00 $1 2010 46687 WSMET PK DIST WILLIAM SHORE MET PARK DIST $5.26 $5.25 $0 00 $0 00 9 2010 46687 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 2010 46687 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9 2010 46687 TOTAL. $272.96 $272.93 $0.00 $0.00 $27 2009 643562008 ST SCH STATE SCHOOL $75 05 $75 04 $0 00 $0 00 $1E 2009 643562008 CC -GEN COUNTY $37 97 $37 99 $0 00 $0 00 $7 2009 643562008 PORT PORT $5 38 $5 38 $0 00 $0 00 $1 2009 643562008 PORT ANG PORT ANGELES $71.22 $71.22 $0 00 $0 00 $14 2009 643562008 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0 00 $0 00 9 2009 643562008 NTH OLY LIB NORTH OLYMPIC LIBRARY $11 04 $11 03 $0 00 $0 00 $2 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =64356 9/1/2010 ~f'ORT~ $"'O~~~ hiii 'IL~ --- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000463 Date .529391 4108 NEWELL RD 06-30-09-5-0-9170-0000- RES ADDITION 6/14/04 4000 Owner Contractor CONNELLY, STELLA 4108 NEWELL RD PORT ANGELES WA 98363 GREAT IMPROVEMENTS POBOX 72 6 PORT ANGELES (360) 417-2960 INSTALL ROOF OVER EXISTING DECK TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 12.10 V-N 1. 00 2386.00 22545.00 350.00 2736.00 1. 00 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT ROOF COVER OVER 120.75 6/14/04 12/11/04 -RESIDENTIAL EXISTING DECK Plan Check Valuation Fee 48.30 4000 -.t: ...... c. ~ 2.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 92.75 28.00 ~ t rt ~ Qty Unit Charge Per Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Other Fees STATE SURCHARGE 4.50 ~ IJ.::.. . Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total 48.30 48.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 173.55 173.55 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to~~-a6t ority to vjolate or cance he provisions of any state or local law regulating construction or the performance of constructio~ /' . / Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/1412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS ~ -10" J-/ I,L WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS ") - '1 /.~ --/.14 1)1./ WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION RW. / PW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 q-^ -^ .,.... -' LJ BUILDING T:\PLANNING\FORMS\] ]02.15 [11/14/2003J tJ:l tJ:l tJ:l .., '0 ~;;~8ij , n'O r< r< r< >< ~ H:U \D w H '0 'O:UZZO ..,l'1 \D ---- r<nl'1..,:U ><'0 w H l'1:U:Ul'1 ;>< 0 0 0 0 .., Zr< ;><W o:u H H H !ii. nw 'Ol'1 .., 0 0; tJ:l 0 '0 '0 l'1' :U. 0 n:U~ :u :U\D 0l'1 ..,---- ;;:0 tv 'OC::O OOnG)~ ~~ r<l'10 ,l:::.OlO~1--' l'1W ~~~~~ G)O ..,..,1lO l'1o<> l'1l'1C:: ootrj...., r<- , OOH 0 r< Z '" , b OOt"'HtIj WH , OI.Ot-<3:~ tv '~ H 0<> , - 'Ol'1 I ;t:>'::u)::>~ '" :z: "'''' "'r< '" I t"''1:I<:'I:lt"' l'1HQ w, tIlOr< \D , r< r< wZ 0"'< , C::W'O :u' l'1l'1:U w , ~'1:1~ tIll.Ot"l3:t:l H , U)1--'t"'tIj , -..);><Z , H ij';' .., , .., W , 00 , <;ltJ:l<;ltJ:l'itJ:l "'0 I HO , OC::Oc::roc:: l'1l'1 "'0 , ::dHi"iHOOH WW~ H 0 , t:l t"' 0. t'" 1-'- t'" c::nt>:l 0' , ><0'<00.0 r<"'en Z , H HroH >-JHH Z Z::lZ tIl'Otl n , G) <;lrtG) ----..,~ 0 CJH H ;;: "' '0""'0 00 HZ ;;: O<>H '" 0 ;;:ZH Zw l'1 HZ ~~. ~ ;;: ~ WOO Z -..);>< l'1 'Ol'1 .., , r< H 0 Z l'1n W tv Zo<>;>< .., n.., \D G)H.., W ..,H ~ '" -..)H 00 0 0 :UZ 0 tvZ \D ,-<.., Z "''0 ~~ 0 \DO 'O'OW .., 0 6653 l'1" l'1 "".., Wl'1 W o H zzo .., 'i Z l'1l'1H r< o.G) < '< r< H ",. l'1 [Jl w :u '" r< rt 0 >< ::r ro 0<> n H 0 -..) ::l .:., rt 'i \D '" '" n 0 rt 0 'i 0'0 ;><;>< >-JG) l'1l'1 \D ---- tv 0 ---- 0 0<> tv Ol Ol .., '0 ~;;~8ij n'O r< r< >< ~ H:U w H '0 'O",ZZO ..,l'1 "- r<nl'1..,:U ><'" w H l'1:U:Ul'1 ;>< 0 0 0 .., Zr< ;><W O:U H H !ii. nW 'Ol'1 .., 0 0; Ol 0 '0 '0 l'1' :U. 0 n:u~ :u :U-..J fm 0l'1 ..,,,- "-"-"- :;:0 '" "'HH 'OC::O OO()G).t:o ~~ "''''''' r<l'10 ,t>.O'\O~l--' "-"-"- l'1W ~~~~~ "'0 000 "''''0; l'1'" ......... l'1l'1C:: o Otr:1 1-3 r<- OOH 0' r< Z l'1 S OOt"iHtrj WH OI.O.-<3:::€ '" H ... 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If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 YGO~ il?--2.fbf' Owner: Address: ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYP..,E OF WORK: nesidential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial tl-"'Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: rLlr ~(;(/F tf(/it~ , City: Exp. Date: o Stove o Garage ~eck o Other SIZEN ALUATlON: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 'ItJOO eXf ST//V6r DI3Ck, , COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: / 7 ? r'j' r 3.0 /_ ~ n-. :>o.u/ '77' :?) No.ofStories:-L LotSizeA~ ~ ExistingSq.Ft...2. 010 &ProposedSq.Ft. S...>v =TOTALSq.Ft...-<.,..?(C) Total lot coverage / ~ ~ /~ % ESAlWetland(s): 0 Yes 0 No SEPAChecklistrequired? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIns figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tin1e the building permit application and construction plans are submitted. All other pemnt fees are due at the time of permit issuance. EXPIRATION OF PLAl'-~ REVIKW: If no pemnt is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, cunent edition). No application can be extended more than once. , hereby certify that I have read and examined this application and know the same to be true and correct. , am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not t t ' , and mus ain such permits pri rto work. . ~ ~ Date: ~ 2 T:\FO RMS\APPS\B ui ldingpermi t. wpd i- -~-"-----1-~- I ~~ ~ U .... 0, , i I ___;_._.m__j____;___ -~r--;---cP- Ii: i i I 'i---r--T--i-I--r- I , ! I I I! 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C; .... p , I :1 +- I ; I I "',.::--- Q) ~", ;1 ~-:.":"~~:-:-:::::.:.-:-~:.=::..~_.._-~--..~.,..~ ( ".,_._"':,;~."'C._..^"'.:.:'"_:-<";~_o . ,~-~'-::-,'~ t~".~)(y lOO!<QuT S' ,. 1~18...l ./...---.-- D,' '- CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15480 :7 -5--- ..>-::, Port Angeles, Washlngton_________m________________________________________m_______, 19____m_ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby grant~d 0 do electrical work as listed below. <:/-/0 ? ~7/ ;:;O/} 0 ~ Address __m._______~---------.---- _(~.~------U_./.lm-----m---m--.---.... Occupancy.~--.-----------------m-----....------ Owner __.!Jd.:.it?.______~""=~.l__________________________ " ..- /' ., Tenant____m_____mmm_________m_________m_.._______m......___m__.. Light Outlets....m__mm__m.......m_______._ Receptacle Outlets...._...m..__m______....... Dryer, K\X~....nu.......-n--u-nuuunnu--n- Service, volts m___um___m...................... Wiring Contractor _~~e.~------------------------------..--------- By____m______m__________mm...._m______________m_____________ No. wires __...__.._______...._________...__."_.. Size wires.........uum..._.......mm___.. Range, KW n__un..__u_______ ,"Vater Heater: I\lain fuse .......m...___..m___m__._______.. Enclosure m_m.._..m___.m....____m___... KW._______.....___.___.._.___..___.____...______. Ileat RW..__.._......{;.?..5.X/iP.. Type of wiring': Entrance Cable __....____......._..m_____. Motors: size, volts and phase: Rigid Conduit ....m_____m.m__nm___.. Metallic Tubing ................._........_ Current transformers: No. & Size._____..___________.___________________ Ser. NO..__.__..._..........__...n_.._._......____.. Ser. No. __.._.____..._____n_________.............._. Set. NO..______n______.._____________..___________... Type of Wiring: Armored Cable .mm__mm_......_____.. Non.Metallic _____..._______mm...mm___ Knob & Tube.......n.m__.___..__________.. Rigid Conduit _...m....._.....___mm.... Metallic TubIng .___..u___.m..__.__..... Race\vay .....__...______....__..........________.. Circuits, Lightm_.m........u._....._....._______. Utility.__...n....._..._______________.__...._n.._ Heat Range ___._____.n......_. .______...._____________ Water Heater ...............m..m____m. Motor .________________.__.___.__.__n....._...__.. Dryer._._..______..___________________.___.._.......... Furnace ____n__....______..____.._..... Total Load.___n__......_...__........ Set. No..____.____....____.____..______..__..__..... Total ................__u.........___...____ Remarks: ......-......0!;_._,::rJ.62....~~.g.._......;-~D_~2~rt..=-"'----nnn...-...__nu..nn.._...un..........._............nn....._ "i.~_~~:_~~~_-_-_~~-_~-_-_-_-..-_..-_-_-_..----------i~~_~:__~~_~_~~_~~:_-::_-_-__-m----mm----:~-:~-kPf7~=2~:- NOTICE-,--Current must not; be turned on until Certificate of Inspection bas been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ~ ~itfrJ.,r- jJ /3 ELECTRICAL PERMIT N? 15480 ::::~~~:r:~~fi:~:t.::.:~~=5-::-=:::-:::-::-:::::::::::::-:::::::::::::-___::::::::__:::::::::::~::::::::::::::~:::=:::::::::::::::_:: , ,. ( . Inspectioncompleted.t1::::::-:=.~___.____.:=::._._..__..._.._......:..______.___._..___........_......__n_____............._.___...________.................................. 1M 3-72 Olympic Printers, Inc. Total Load _._____n_....__h__.___........____._......__.....___......._._____..._...______._...._ .........____..___._.._____.__......._..__....__________.._.................___._._...._____......._......_